| Serenity Wound Care Inc | |
|
4110 Holt Blvd Montclair CA 91763-4605 | |
| (424) 464-4264 | |
| Not Available |
| Full Name | Serenity Wound Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4110 Holt Blvd, Montclair, California |
| Authorized Official Name and Position | Smbat Torosyan (CEO) |
| Authorized Official Contact | 4244644264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Wound Care Inc 4110 Holt Blvd Montclair CA 91763-4605 | Serenity Wound Care Inc 4110 Holt Blvd Montclair CA 91763-4605 Ph: (424) 464-4264 |
| NPI Number | 1710778931 |
|---|---|
| Provider Enumeration Date | 05/15/2025 |
| Last Update Date | 05/15/2025 |
| Certification Date | 05/15/2025 |
| Medicare PECOS PAC ID | 0840792123 |
|---|---|
| Medicare Enrollment ID | O20250905002909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710778931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Brownell H Payne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720156490 PECOS PAC ID: 2365478831 Enrollment ID: I20050715000461 |
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